HomeMy Public PortalAbout9640 LEMON AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, County Engineer
0119TRICT NO. GROUP
PERMIT NU.
FOR APPLICANT TO FILL IN 1110
PLUMBERREADY FOR
RE EIVED Y DATE ISSUED
FIRST INSPECTION a�
ADDRESS
®UILDING
CITY TEL No. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) Q 0.50 s ADDRESS
BATH TUB @ 0.50 CITY L. No. 73
SHOWER 49 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING. _
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY C 0.50 ANGELEB COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS 0 0.50
SIGNATURE OF
WATER HEATER 0.50 PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR BINK Q 0.50
FLOOR DRAIN 0 0.50 ,
DISHWASHER 0 0.50 / �+/�s / ,�/
DRINKING FOUNTAIN @ 0.50 l2.-3 /-f� 7 f J�i`4 Wl��l�� �JJ
URINAL 0.50
HOUSE SEWER @ 0.513 7 Z
MISCELLANEOUS
NO 0
k'-I<-0-x
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING /Z-3(, In'7d .�.•
GAS PIPING
GAS VENT = 15:0AA;-
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
1 '
PERMIT 1.00 GAB TEST
A
UTILITY CO.NOTIFIED I
`S ®�
2, FINAL
TOTAL FEE
76A667 DES$ 17 6-52
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer PLUMBING
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT IT NO.
(5, GROU P I /O �173
PLUMBER f s {� RECEIVED BY `R -READY FOR
�PERR7R DATE ISSUED
FIRBTIN3PECTION
ADDRESS G
BUILDING M O ,)
CITY TEL. No. ADDRESS
COUNTY LOCALITY �9c '
LICENSE NO. EXPIRE
NEAREST
11//
PERMIT FEES cRass HT. 49 L
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 14 "_ (/Q ,-I/fw ",/per Q e-"ke
MAIL `
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS '
BATH TUB @ 0.50 CITY TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK (9 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS @ O.SD OF THE RESIDENTIAL PROPE Y DESCRIBED ABOVE.
SIGNATURE OF O
WATER HEATER @ 0.50 PER),
SLOP SINK @ D.SO INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 '1
HOUSE SEWER @ 0.50
O _Z
t7
MISCELLANEOUS V
0
i
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING \�
GAS PIPING
GAS VENT
CESSPOOL @ 1,00CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE O�
FINAL
76A667 DBS$17 6-52